| NPI | 1699277228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD THOMAS MACY Dentist 903-603-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 22174) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |